Organization Active NPI

Criterion Medical PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Middletown, NY
National Provider Identifier
1194414771
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
CRITERION MEDICAL PLLC
Practice address
59 North St
Middletown, NY 10940-5062
Phone
(845) 324-5702
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Omotayo Majekodunmi, MDNPI 1700041647
Title
Physician
Phone
(301) 526-8581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU Primary

Addresses

Primary practice location

59 North St
Middletown, NY 10940-5062

Mailing address

16 Ford CT
Monroe, NY 10950-4946

National Provider Directory

National Provider Directory

Locations

59 North St
Middletown, NY 10940
Phone (212) 299-9976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1194414771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FORD CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 NORTH ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405062",
            "telephone_number": "845-324-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITERION MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "MAJEKODUNMI",
        "authorized_official_first_name": "OMOTAYO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-526-8581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.